JOHN E. FOGARTY CENTER
NPI 1457477168
Intermediate Care Facility, Intellectual Disabilities in Cumberland, RI

Active since March 22, 2007
7 TALLYHO RD, CUMBERLAND, RI 02864(401) 333-3210(401) 353-0290 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...

About JOHN E. FOGARTY CENTER

This page provides the complete NPI Profile along with additional information for John E. Fogarty Center, a provider established in Cumberland, Rhode Island operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1457477168 assigned on March 2007. The practitioner's primary taxonomy code is 315P00000X with license number 121 (RI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as John E. Fogarty Center. The authorized official of this NPI record is Mr. John Costa Bs,cpp (Controller)

NPI
1457477168 Verify this NPI
Provider Legal Name
GREATER PROVIDENCE CHAPTER,RIARC
Other Organization Name
JOHN E. FOGARTY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7 TALLYHO RD CUMBERLAND, RI 02864
Location Phone
(401) 333-3210
Location Fax
(401) 353-0290
Mailing Address
220 WOONASQUATUCKET AVE NORTH PROVIDENCE, RI 02911
Mailing Phone
(401) 353-6990
Mailing Fax
(401) 353-0290
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
121
License State
RI
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN COSTA BS,CPP

Authorized Official Title
CONTROLLER
Authorized Official Phone
(401) 353-6990

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
JF02850MEDICAID (05)RI 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457477168, enumerated as an "organization" on March 22, 2007.

The provider is located at 7 TALLYHO RD CUMBERLAND, RI 02864 and the phone number is (401) 333-3210.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.